Synopsis Bandit 22 (BDIT22), a Canadian Forces Tutor, was cleared for a contact approach to the Sault Ste. Marie Airport. Air Ontario flight 294 (ONT294) had been cleared to depart from runway 11. The tower controller attempted to contact BDIT22 but was unsuccessful until the aircraft was on short final for the active runway. BDIT22 saw ONT294 on the runway and conducted a missed approach; the tower controller cancelled the take-off clearance for ONT294 and instructed the crew to hold their position on the runway. The Board determined that the tower controller positioned ONT294 on the active runway and cleared it for take-off without establishing direct pilot-controller communications with BDIT22. 1.0 Factual Information 1.1 History of the Flight BDIT22, a Canadair CT-114 Tutor, was on an instrument flight rules (IFR) flight plan inbound to Sault Ste. Marie, Ontario, from Winnipeg, Manitoba. BDIT22 was cleared to the Sault Ste. Marie Airport for an instrument landing system (ILS) approach to runway 11. At approximately three miles from the final approach fix, the approach clearance was cancelled because the aircraft was too high on approach, and a clearance was issued for a descending 360-degree turn to the left to re-intercept the localizer at a lower altitude. During the turn, the sector controller issued a contact approach clearance to the crew and co-ordinated a transfer of control for the aircraft with the tower controller. Air Ontario flight 294 (ONT294), on an IFR flight plan from Sault Ste. Marie Airport to Toronto/Lester B. Pearson International Airport, Ontario, was cleared by the tower controller to position and hold on the active runway. When control of BDIT22 was passed from the sector controller to the tower controller and an IFR release for ONT294 was obtained, the tower controller cleared ONT294 for take-off. The tower controller attempted several times to contact BDIT22 by radio; however, he was unable to do so. He cancelled the take-off clearance for ONT294 and instructed the crew to hold their position on the runway. Radio contact was eventually established with BDIT22 and the aircraft conducted a missed approach. 1.2 Weather The 1800 EST surface actual weather report at Sault Ste. Marie was reported as 1,000 feet scattered, measured ceiling 1,500 feet broken, 10,000 feet overcast, visibility 15 miles, temperature minus 4 degrees Celsius, dew point minus 6 degrees Celsius, wind 100 degrees at 12 knots, and altimeter setting 30.41 inches of mercury. These are visual meteorological conditions. 1.3 Air Traffic Control (ATC) Manual of Operations (MANOPS) MANOPS Section 362.5 states that a tower controller may assume responsibility for control of an arriving IFR or CVFR (controlled visual flight rules) aircraft that has been cleared for an approach provided: you and the IFR controller when you request control; or both units as specified in an agreement. you and the IFR controller when you request control; or both units as specified in an agreement. Section 351.1 of the MANOPS directs tower controllers to: Issue clearances and instructions, as necessary, to maintain a safe, orderly, and expeditious flow of airport traffic. Section 352.2 of the MANOPS directs tower controllers to: is at a distance from the threshold sufficient to allow the arriving aircraft to complete its landing roll without jeopardizing safety; and the arriving aircraft is advised of the preceding aircraft's position and intentions. is at a sufficient distance from the threshold that the arriving aircraft will not overtake it during the landing roll or conflict with it in the event of a missed approach; or has turned to avoid any conflict with the arriving aircraft in the event of a missed approach. is at a sufficient distance from the threshold that the arriving aircraft will not overtake it during the landing roll or conflict with it in the event of a missed approach; or has turned to avoid any conflict with the arriving aircraft in the event of a missed approach. is at a sufficient distance from the threshold that the arriving aircraft will not overtake it during the landing roll or conflict with it in the event of a missed approach; or has turned to avoid any conflict with the arriving aircraft in the event of a missed approach. 1.4 Inter-Unit Agreement A memorandum of understanding (MOU) between the Toronto Area Control Centre (ACC) and the Sault Ste. Marie Control Tower defined the procedure for the automatic transfer of control of inbound IFR flights under certain guidelines, as follows: the control transfer point would be the final approach fix serving the active IFR approach [in this case, the Gros Cap NDB]; the ceiling would be at least 3,000 feet and the visibility five miles or greater; Sault tower notifies Toronto centre immediately when the weather falls below the established criteria for automatic control transfer; automatic transfer does not apply to an IFR aircraft on a pre-determined IFR missed approach. 1.5 Transfer of Control The tower controller requested that control of the aircraft inbound to the airport be transferred as each successive aircraft passed the Gros Cap beacon (slightly more than four miles final for runway 11, the active runway) at Sault Ste. Marie. This transfer of control was agreed to by the sector controller. The tower controller's plan was to establish radio contact with BDIT22 near the Gros Cap beacon when control was transferred from the sector controller. He would notify the aircraft of the departing ONT294 flight and request that the aircraft reduce its approach speed or fly a circuit overhead the airport while the DHC-8 departed. In this manner, the departing flight would have a minimal delay. However, after establishing that the tower controller had BDIT22 in sight, the sector controller cleared BDIT22 to the contact approach at Sault Ste. Marie but delayed the instruction to BDIT22 to switch to the tower frequency at Sault Ste. Marie for more than one minute. The reason for the delay could not be established.